Basal skull fracture with traumatic polycranial neuropathy and occluded left carotid artery: significance of fractures along the course of the carotid artery.
A patient who survived with traumatic multiple cranial nerve palsies and occluded internal carotid artery associated with a basal skull fracture that involved the carotid canal is described. A literature review indicates that a wide variety of injuries can occur to the carotid artery as it passes through a fractured skull base. Basal fractures involving the course of the carotid artery reflect a significant risk of carotid injury.
Carter
D A
DA
Department of Neurological Surgery, Medical College of Ohio, Toledo 43614-5807, USA.
Mehelas
T J
TJ
Savolaine
E R
ER
Dougherty
L S
LS
D000063:Accidents, Traffic; D000293:Adolescent; D020212:Carotid Artery Injuries; D016893:Carotid Stenosis / Q000209:etiology*; D003391:Cranial Nerves; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D009408:Nerve Compression Syndromes / Q000209:etiology*; D019291:Skull Base / Q000293:injuries*; D012887:Skull Fractures / Q000145:classification / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed